Job Information
Actalent Fully Remote California RN License Case Manager in Orlando, Florida
Description:
Position Purpose: Perform care management duties to assess plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality cost-effective care
Develop assess and adjust as necessary the care plan and promote desired outcome
Assess the member's current health status resource utilization past and present treatment plan and services prognosis short and long-term goals treatment and provider options
Coordinate services between Primary Care Physician PCP specialists medical providers and non-medical staff as necessary to meet the complete medical socio-economic needs of clients
Develop plans of care based upon assessment with specific objectives goals and interventions designed to meet member's needs
Provide patient and provider education
Facilitate member access to community based services
Monitor referrals made to community based organizations medical care and other services to support the members overall care management plan
Actively participate in integrated team care management rounds
Identify related risk management quality concerns and report these scenarios to the appropriate resources
Enter and maintain assessments authorizations and pertinent clinical information into various medical management systems
Additional Skills & Qualifications:
Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2 years of pediatric clinical nursing experience in a clinical acute care or community setting.
Knowledge of healthcare and managed care preferred.
Prior experience working in a remote role is preferred.
Prior case management experience preferred. Bilingual in Spanish and English is preferred.
Need to be able to work PST hours
Licenses/Certifications: Current California state RN license.
• Case Management that has remote experience
• Home Health Care/Hospice, but not their only experience
• Building care plans, medication review, assessments care plans
Experience Level:
Intermediate Level
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.